Purpose:To compare the
educational model and complication rates of cataract surgery performed by
ophthalmology residents in Iran with other countries and present suggestions
for improvement

Methods:We reviewed a number of
studies that investigated the complications of cataract surgery in relation to
curriculum modifications from 2009 to 2011.

Review: Complication rates
are higher in our country compared to others. In Iran, two studies in 2009 and
2011 reported high complication rates among residents. In the USA, the rate of
Posterior capsular rupture (PCR) in resident-performed surgeries had a
decreasing trend from 2001 to 2011, and the rate of Vitreous loss (VL) reached
zero in 2011 after a substantial decrease in 2002 and small variations
thereafter. The two Asian and European studies in 2006 and 2009 also reported
lower complication rates than Iranian studies.

Suggestion: Simulation and wet
lab training, exposure to the operating room, providing a portfolio, research
shifts, evidence-based discussions with experienced surgeons could improve
knowledge and experience of Iranian residents.